Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 4017 | MA |
Y | 103T00000X | Psychologist | 4017 | MA |
NPI | 1013907658 |
---|---|
Provider Name | Dr. Carol G Taylor |
First Address | Salem, MA 01970 |
Second Address | Salem, MA 01970 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2005 |
Last Update Date | 08/07/2007 |